Kemberling and Willey PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KEMBERLING AND WILLEY PA

Practice address

71 Elm St Ste 1
Camden, ME 04843-1904

Phone

(207) 230-1177

Fax

(207) 230-1177

NPI assigned

Oct 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vicky L. Willey, PHD

Title

Psychologist

Phone

(207) 230-1177

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1346791829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ELM ST STE 1",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431904",
            "telephone_number": "207-230-1177",
            "fax_number": "207-230-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ELM ST STE 1",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431904",
            "telephone_number": "207-230-1177",
            "fax_number": "207-230-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMBERLING AND WILLEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "207-230-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlton Douglas Johnstone, DC
• Jon St. Peter LCSW
• Richard J Kahn, M.D.
• Elise Kaserman, PHARM.D
• Kathleen Dishner, Inc
• Cecilia Kinast, PH.D.
• Clay King, LMT
• Margaret King, LMT
• Spencer Knowlton, CEO
• Ashley Koff, RD

• All providers in Camden, ME
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.